Thromb Haemost 1981; 46(04): 690-693
DOI: 10.1055/s-0038-1653454
Original Article
Schattauer GmbH Stuttgart

Platelet Aggregation, Malondialdehyde Generation and Production Time in Children with Sickle Cell Anaemia

George R Buchanan
The Department of Paediatrics, The University of Texas Health Science Center at Dallas, Southwestern Medical School, Dallas, Texas, U.S.A
,
Christine A Holtkamp
The Department of Paediatrics, The University of Texas Health Science Center at Dallas, Southwestern Medical School, Dallas, Texas, U.S.A
› Author Affiliations
Further Information

Publication History

Received 04 March 1981

Accepted 18 September 1981

Publication Date:
05 July 2018 (online)

Summary

In view of prior reports of platelet activation in the sickling disorders, platelet aggregation, malondialdehyde (MDA) production following stimulation with N-ethylmaleimide, and/or production time (survival) measurements were examined in 44 children with homozygous sickle cell disease. Aggregation in response to epinephrine, collagen, and adenosine diphosphate was similar to or only slightly less than in normal black controls, rendering highly unlikely the circulation of a sizable population of refractory or “exhausted” platelets. The platelets from the normal blacks aggregated less in response to epinephrine than those from white control subjects. MDA generation in sickle cell platelets was not increased, and platelet production time was not shortened in 6 patients studied during crisis. These observations do not support the occurrence of a marked degree of platelet activation and consumption in sickle cell anaemia.

 
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